Blacklick Family Dental, Inc in Columbus - General Practice
Blacklick Family Dental, Inc - NPI 1124244413
Blacklick Family Dental, Inc is a General Practice in Columbus, Ohio. Blacklick Family Dental, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Blacklick Family Dental, Inc is 1124244413. The last update date is 2020-08-22.
Blacklick Family Dental, Inc's current location address is 6911 E Broad St, Columbus, Ohio. You can contact this provider via phone number 6148644800. The mailing address for Blacklick Family Dental, Inc is 6911 E Broad St, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blacklick Family Dental, Inc |
|---|---|
| Address | 6911 E Broad St, Columbus, Ohio |
| Phone Number | 6148644800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petrova Liljana |
| Credentials | DDS |
| Telephone Number | 6148644800 |
NPI Number Detail
| NPI Number | 1124244413 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6911 E Broad St |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432131518 |
| Phone Number | 6148644800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Blacklick Family Dental, Inc by the Centers for Medicare & Medicaid Services?
The Blacklick Family Dental, Inc has been assigned the NPI (National Provider Identifier) 1124244413. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Blacklick Family Dental, Inc's facilities are situated?
The facilities of Blacklick Family Dental, Inc are physically located at the following address: 6911 E Broad St, Columbus, OH, 432131518.
What is Blacklick Family Dental, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blacklick Family Dental, Inc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did the Blacklick Family Dental, Inc receive its 1124244413?
The Blacklick Family Dental, Inc was issued its 1124244413 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
When was the Blacklick Family Dental, Inc's information last updated?
The Blacklick Family Dental, Inc's information was last updated on 2020-08-22.